OrganizationActive
Charlotte Eye Ear Nose & Throat Associates, PA
NPI 1366793465 · Otolaryngology Physician · Mooresville, NC
Provider details
- NPI number
- 1366793465
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jag Gill, Ceo(704) 295-3000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Facial Plastic Surgery Physician207YS0123X
Allopathic & Osteopathic Physicians
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
- Audiologist-Hearing Aid Fitter237600000X
Speech, Language and Hearing Service Providers
Practice location
144 Fountain Pl
Mooresville, NC 28117-0162
Phone: (704) 658-0595
Fax: (704) 658-0916
Approximate (ZIP-level) locationGet directions
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.